05D0991788 CLIA NUMBER - LUKE W YOON MD INC

Laboratory Demographics

  • CLIA Code: 05D0991788
  • Facility Name: LUKE W YOON MD INC
  • Facility Address: 300 S HOBART BLVD STE 300
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 387-6564
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUKE W. YOON
  • NPI Number: 1114007747
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0991788
LAB Type Physician Office
Facility Name LUKE W YOON MD INC
Street 300 S HOBART BLVD STE 300
City LOS ANGELES
State CA
ZIP 90020
Phone 213 387-6564
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director LUKE W. YOON

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This page was last updated on: 9/29/2025